Wellspace Health
Wellspace Health was paid $64.16M by Medicaid between Jan 2018 and Dec 2024, across 163 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
33Billing provider infoWELLSPACE HEALTH
SACRAMENTO, CA 95817
SACRAMENTO, CA 95817
33aNPI1124257324assigned 07/08/2009
33bProvider typeContractor
28Total paid$64.16M
24GClaims2,374,198
24DCodes billed163
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Contractor providers in California
Rank by total paid#2 of 31
Median peer was paid$409K
This provider vs. median157×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official PORTEUS, ALASDAIR controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 68,069 | $3.16M | |
| 2019 | 115,358 | $3.47M | |
| 2020 | 295,712 | $10.08M | |
| 2021 | 523,409 | $13.68M | |
| 2022 | 475,083 | $11.22M | |
| 2023 | 610,919 | $15.06M | |
| 2024incomplete | 285,648 | $7.50M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 93% | 413,351 | 378,934 | $59.45M |
| 00003 | Internal/system code - not a standard HCPCS code | 1.5% | 4,661 | 4,168 | $980K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.0% | 84,293 | 66,958 | $649K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 85,174 | 67,938 | $350K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 95,492 | 76,467 | $316K |
| D1351 | Sealant - per tooth | <1% | 64,509 | 19,871 | $297K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 7,319 | 5,558 | $270K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 389,696 | 70,587 | $247K |
| D0274 | Bitewings - four radiographic images | <1% | 64,304 | 51,992 | $224K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 98,471 | 76,009 | $191K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 21,429 | 15,840 | $173K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 17,826 | 12,553 | $136K |
151 more codes
| 90832 | Psychotherapy session, about 30 minutes | <1% | 8,234 | $120K |
| D1310 | <1% | 105,072 | $89K | |
| D0170 | <1% | 7,377 | $85K | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 5,207 | $78K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 8,060 | $68K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 2,198 | $63K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 68,851 | $47K |
| D1352 | <1% | 9,626 | $46K | |
| G0466 | Community health center visit, new patient | <1% | 513 | $39K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 1,391 | $37K |
| D9430 | <1% | 7,813 | $35K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 9,002 | $31K |
| D0603 | <1% | 37,197 | $24K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 38,790 | $19K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 19,481 | $15K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 753 | $11K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 2,442 | $8K |
| 0012A | <1% | 424 | $6K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 4,914 | $6K |
| D0272 | Bitewings - two radiographic images | <1% | 3,799 | $6K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 212 | $5K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 512 | $5K |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 72 | $4K |
| 0011A | <1% | 507 | $4K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 270 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 339 | $3K |
| D1999 | <1% | 45 | $3K | |
| D0270 | <1% | 1,788 | $3K | |
| D1320 | <1% | 5,752 | $2K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 211 | $2K |
| D4341 | <1% | 78 | $1K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 284 | $1K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 582 | $1K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 584 | $907.20 |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 1,040 | $831.72 |
| 0031A | <1% | 86 | $804.00 | |
| 0064A | <1% | 55 | $761.00 | |
| 0002A | <1% | 58 | $737.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,413 | $684.30 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,830 | $583.77 |
| D0601 | <1% | 246 | $555.86 | |
| 0013A | <1% | 32 | $441.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,027 | $415.58 |
| 99381 | <1% | 504 | $362.64 | |
| 90651 | <1% | 846 | $343.00 | |
| 0001A | <1% | 20 | $294.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 762 | $291.32 |
| 99383 | <1% | 184 | $263.66 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 583 | $239.48 |
| 90674 | <1% | 574 | $225.16 | |
| 92551 | <1% | 3,643 | $186.45 | |
| 90686 | <1% | 3,400 | $178.28 | |
| D0602 | <1% | 249 | $135.00 | |
| 90633 | <1% | 1,460 | $112.10 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 15 | $102.90 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 4,804 | $82.01 |
| 90715 | <1% | 281 | $78.00 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,136 | $68.98 |
| 85018 | <1% | 2,249 | $63.96 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 15 | $59.30 |
| 90697 | <1% | 421 | $54.00 | |
| 90677 | <1% | 264 | $54.00 | |
| 83655 | <1% | 140 | $53.04 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 160 | $51.35 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 4,157 | $44.47 |
| 90710 | <1% | 697 | $36.00 | |
| 90707 | <1% | 223 | $27.00 | |
| 90700 | <1% | 508 | $27.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,612 | $25.78 |
| 99422 | <1% | 108 | $22.68 | |
| 80305 | <1% | 113 | $20.46 | |
| 90734 | <1% | 428 | $18.00 | |
| 90680 | <1% | 656 | $18.00 | |
| 99173 | <1% | 3,550 | $10.89 | |
| 90647 | <1% | 794 | $9.00 | |
| 97803 | <1% | 42 | $8.41 | |
| 99401 | <1% | 55 | $8.41 | |
| 96156 | <1% | 61 | $8.41 | |
| 90461 | <1% | 2,725 | $7.14 | |
| 3078F | 0% | 46,697 | $0.00 | |
| 3050F | 0% | 7,146 | $0.00 | |
| D9993 | 0% | 1,739 | $0.00 | |
| 90713 | 0% | 147 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 57,194 | $0.00 |
| Z6500 | 0% | 1,562 | $0.00 | |
| Z6304 | 0% | 494 | $0.00 | |
| 0502F | 0% | 1,733 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 11,799 | $0.00 |
| 4004F | 0% | 201 | $0.00 | |
| 3077F | 0% | 11,770 | $0.00 | |
| Z6400 | 0% | 2,283 | $0.00 | |
| 90670 | 0% | 1,856 | $0.00 | |
| 0071A | 0% | 15 | $0.00 | |
| 90661 | 0% | 42 | $0.00 | |
| 99382 | 0% | 19 | $0.00 | |
| 3045F | 0% | 32 | $0.00 | |
| 3051F | 0% | 148 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 585 | $0.00 |
| 3046F | 0% | 342 | $0.00 | |
| 90648 | 0% | 602 | $0.00 | |
| H1002 | Prenatal care, at risk enhanced service; care coordination | 0% | 74 | $0.00 |
| 98940 | 0% | 190 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 19 | $0.00 |
| 9504 | Hit antibiotic total diem | 0% | 13 | $0.00 |
| 81025 | 0% | 29 | $0.00 | |
| 99201 | 0% | 13 | $0.00 | |
| 91300 | 0% | 71 | $0.00 | |
| 80101 | 0% | 35 | $0.00 | |
| 82948 | 0% | 35 | $0.00 | |
| D1330 | 0% | 81,328 | $0.00 | |
| 3052F | 0% | 68 | $0.00 | |
| 3008F | 0% | 76,105 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 5,799 | $0.00 |
| 1034F | 0% | 1,179 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 62,947 | $0.00 |
| 2001F | 0% | 76,120 | $0.00 | |
| 1036F | 0% | 51,680 | $0.00 | |
| 3079F | 0% | 18,416 | $0.00 | |
| 3075F | 0% | 9,048 | $0.00 | |
| Z6406 | 0% | 483 | $0.00 | |
| 3074F | 0% | 49,016 | $0.00 | |
| 3048F | 0% | 14,133 | $0.00 | |
| 91301 | 0% | 1,116 | $0.00 | |
| D4355 | 0% | 525 | $0.00 | |
| 3049F | 0% | 10,049 | $0.00 | |
| Z6410 | 0% | 3,763 | $0.00 | |
| D4999 | 0% | 771 | $0.00 | |
| 3044F | 0% | 734 | $0.00 | |
| 90716 | 0% | 368 | $0.00 | |
| 90696 | 0% | 227 | $0.00 | |
| 90723 | 0% | 926 | $0.00 | |
| 3080F | 0% | 4,604 | $0.00 | |
| D9995 | 0% | 6,494 | $0.00 | |
| Z6204 | 0% | 493 | $0.00 | |
| 90620 | 0% | 89 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $0.00 |
| 1111F | 0% | 170 | $0.00 | |
| Z1034 | 0% | 1,845 | $0.00 | |
| 90656 | 0% | 64 | $0.00 | |
| 90744 | 0% | 28 | $0.00 | |
| 91307 | 0% | 34 | $0.00 | |
| 91303 | 0% | 74 | $0.00 | |
| 99384 | 0% | 41 | $0.00 | |
| 90619 | 0% | 56 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 138 | $0.00 |
| D5899 | 0% | 60 | $0.00 | |
| 90474 | 0% | 113 | $0.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 15 | $0.00 |
| 9602 | 0% | 14 | $0.00 | |
| 93000 | 0% | 17 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 20 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialPORTEUS, ALASDAIR (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Wellspace Health | Sacramento, CA | $76.86M |
| Wellspace Health | Galt, CA | $42.54M |
| Wellspace Health | Sacramento, CA | $28.23M |
| Wellspace Health | Sacramento, CA | $18.86M |
| Wellspace Health | Sacramento, CA | $14.61M |
| Wellspace Health | Sacramento, CA | $13.57M |
| Wellspace Health | North Highlands, CA | $7.20M |
| Wellspace Health | Sacramento, CA | $5.34M |
| Wellspace Health | Citrus Heights, CA | $5.07M |
| Wellspace Health | Sacramento, CA | $3.67M |
| Wellspace Health | Roseville, CA | $3.03M |
| Wellspace Health | Martell, CA | $2.95M |
| Wellspace Health | Sacramento, CA | $1.02M |
| Wellspace Health | Citrus Heights, CA | $647K |
| Wellspace Health | Sacramento, CA | $318K |
| Wellspace Health | Sacramento, CA | $29K |
| Wellspace Health | Sacramento, CA | $20K |
| Wellspace Health | Sacramento, CA | $10K |
| Wellspace Health | Sacramento, CA | $3K |
| Wellspace Health | Sacramento, CA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.